Individual
LAURA BATES-GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2035 CHESTER AVE, OTTUMWA, IA 52501-3715
(641) 684-9313
Mailing address
559 LEIGHTON ST, OTTUMWA, IA 52501-4932
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000969
IA
Other
Enumeration date
12/14/2015
Last updated
12/18/2015
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